MEDICARE: DR. THOMAS W UMBACH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	12712	NV
2	208600000X	Surgery Physician	12712	NV

General Provider Information

NPI Number	:	1285668319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS W UMBACH M.D.

Provider Business Mailing Address
First Line	:	2657 WINDMILL PKWY # 344
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-3384
Country	:	US
Telephone Number	:	702-463-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3235 E WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3187
Country	:	US
Telephone Number	:	702-463-3300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	02/28/2025

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